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Camden Council with Healthwatch Camden Health and Adult Social Care Scrutiny Committee Panel

Learning from Camden's diverse Bangladeshi community to drive and sustain

improvements in their health and wellbeing Final report - with issues for action Scrutiny Panel ? February 2016

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Issues at a glance - Health and Wellbeing of Camden's Bangladeshi community

? Residents of Bangladeshi origin are the largest minority ethnic group

in Camden (5.7% of population in 2011)

? Residents of Bangladeshi origin show a significantly greater risk than

the Camden average (when age adjusted) of having diabetes, coronary heart disease, dementia, hypertension, a stroke or a serious mental illness

2 times the risk of Heart disease, Stroke & high blood pressure

4 times the risk of Diabetes

22% more likely to suffer from serious mental illness

Bangladeshi residents

? Younger population than Camden. 35% are under 16 compared to

16% of the Camden population

? 3 times the risk of vitamin D deficiency than the Camden average ? Lower physical activity. Only 26% of Bangladeshi men and 11% of

Bangladeshi women in England meet the recommended physical activity levels

? 14% of Camden's Bangladeshi community (age 18+) are obese ? 36% of Bangladeshi men smoke (in Camden overall, 25% of men

smoke)

? 6% of Bangladeshi women smoke (in Camden overall 17% of women

smoke)

? 69% higher risk of having a long term illness compared to the

general Camden population

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However - Bangladeshi students in Camden do really well

In Camden, 69% of Bangladeshi girls and 52% of Bangladeshi boys got 5 or more A*- C GCSEs (including English and Maths) 2014

(For comparison, in Camden overall, 68% of girls and 49% of boys achieved this. Camden does better than England overall, where 59% of girls and 48% of boys achieved at this level.)

Camden's Bangladeshi students' attainments have been improving steadily over the last ten years.

Our enquiry - who we met

From June to December 2015, we met 286 pupils, students, teachers, support staff, Imams, board members, community leaders and workers in:

? Schools ? Community centres ? Health centres ? Mosques ? Summer festivals and community events

We listened to:

? Young women and men under and over the age of 18 years, older

residents and pensioners

They told us about their issues and their recommendations for improvements

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What people told us

GPs ? many residents tell us:

They have consistently poor experiences accessing GPs and getting the right information, support and guidance from them.

They therefore want:

? GPs to refer to hospital quicker ? Quicker appointments and longer appointment times ? More walk in sessions at GP surgeries ? Surgeries not to make mistakes with residents' personal details ? Residents to be told about their test results and for these to be

explained clearly

? Better and quicker diagnosis ? Health advocates based in surgeries ? Better training for receptionists, practice managers in good manners.

Information - residents tell us:

They don't know enough about keeping healthy and well.

They therefore want:

? More information about determinants of poor health and the

potential impact of common conditions like diabetes on them, their lives, their families and their wellbeing

? More community based groups where women can go and talk safely ? Sessions at local community centres so residents can go and feel

comfortable

? Volunteering opportunities and life skills

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? Community led walking groups ? Other community led recreational groups.

Motivation and resilience ? residents tell us:

Family members can sometimes just accept poor health and isolation as the way it is. Some aren't always confident about making changes to become more healthy and well.

They therefore want:

? More understanding of the pressures on some residents ? Residents trained to support and encourage individuals in their homes

and across the borough ? community champions

? Information and services which reach out and bring residents in ? Services which are truly specific to local needs ? Services which help residents to help themselves.

Employment, education and training - residents tell us:

They would like to have a proper job. They don't always feel confident about their language skills and employability. They don't always know what employment services and support are available locally and how to access them.

They therefore want:

? Easier access to English classes and to learn more skills leading to

employment

? Appropriate employment advice which starts from their own needs

and moves through to proper employment

? Understandable information about local employment services and

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